| Cerebral hemodynamic changes after wartime traumatic brain injury. | |
MedLine Citation:
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PMID: 22890651 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Traumatic brain injury (TBI) is associated with the severest casualties from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). From October 1, 2008, the U.S. Army Medical Department initiated a transcranial Doppler (TCD) ultrasound service for TBI; included patients were retrospectively evaluated for TCD-determined incidence of post-traumatic cerebral vasospasm and intracranial hypertension after wartime TBI. Ninety patients were investigated with daily TCD studies and a comprehensive TCD protocol, and published diagnostic criteria for vasospasm and increased intracranial pressure (ICP) were applied. TCD signs of mild, moderate, and severe vasospasms were observed in 37%, 22%, and 12% of patients, respectively. TCD signs of intracranial hypertension were recorded in 62.2%; 5 patients (4.5%) underwent transluminal angioplasty for post-traumatic clinical vasospasm treatment, and 16 (14.4%) had cranioplasty. These findings demonstrate that cerebral arterial spasm and intracranial hypertension are frequent and significant complications of combat TBI; therefore, daily TCD monitoring is recommended for their recognition and subsequent management. |
Authors:
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Alexander Razumovsky; Teodoro Tigno; Sven M Hochheimer; Fred L Stephens; Randy Bell; Alexander H Vo; Meryl A Severson; Scott A Marshall; Stephen M Oppenheimer; Robert Ecker; Rocco A Armonda |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurochirurgica. Supplement Volume: 115 ISSN: 0065-1419 ISO Abbreviation: Acta Neurochir. Suppl. Publication Date: 2013 |
Date Detail:
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Created Date: 2012-08-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100962752 Medline TA: Acta Neurochir Suppl Country: Austria |
Other Details:
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Languages: eng Pagination: 87-90 Citation Subset: IM |
Affiliation:
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Sentient NeuroCare Services, Inc, 11011 McCormick Rd, Suite 200, Hunt Valley, MD, USA, arazumovsky@sentientmedical.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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